After ROSC is confirmed, what should be done?

After ROSC is confirmed, what should be done?

• A. Discontinue contractions and maintain bagging until spontaneous breathing is established
• B. Continue chest compressions and bagging
• C. Immediately defibrillate
• D. Stop ventilation

Answer: (A)

After ROSC, the focus shifts to supporting breathing and oxygen delivery while the patient stabilizes. Chest compressions are no longer needed once circulation has been restored, because continuing them can cause injury and interfere with the new rhythm. The priority is to protect the airway and ensure adequate ventilation, so you should continue assisted ventilation (bag-valve mask or advanced airway) until spontaneous breathing returns. Once the patient is breathing on their own and ventilation is adequate, you can wean the assisted support. Defibrillation isn’t routinely performed right after ROSC unless a new rhythm that requires shock appears, and stopping ventilation entirely would risk hypoxia, so you maintain ventilation rather than stop it.

After ROSC, the focus shifts to supporting breathing and oxygen delivery while the patient stabilizes. Chest compressions are no longer needed once circulation has been restored, because continuing them can cause injury and interfere with the new rhythm. The priority is to protect the airway and ensure adequate ventilation, so you should continue assisted ventilation (bag-valve mask or advanced airway) until spontaneous breathing returns. Once the patient is breathing on their own and ventilation is adequate, you can wean the assisted support. Defibrillation isn’t routinely performed right after ROSC unless a new rhythm that requires shock appears, and stopping ventilation entirely would risk hypoxia, so you maintain ventilation rather than stop it.